Baba T, Koizumi M, Tanaka R, Yamashita S, Noda M, Yamanaka I, Suzuki T, Ito E, Kudo R
Department of Obstetrics and Gynecology, Sapporo Medical University School of Medicine, Japan.
J Obstet Gynaecol Res. 2000 Aug;26(4):289-94. doi: 10.1111/j.1447-0756.2000.tb01324.x.
To evaluate the relationship between chain cystourethrography and surgery for genital prolapse and urinary symptoms.
A retrospective study of women with genital prolapse was conducted from January 1991 through December 1997. To assess the preoperative and postoperative anatomical situations objectively, chain cystourethrography was performed.
Fifty-seven patients underwent surgical repairs for genital prolapse. All of them recovered from the genital prolapse both subjectively and objectively after surgery. Chain cystourethrography is useful for evaluating postoperative anatomical corrections. However, 6 patients (12%) suffered from a recurrent feeling of genital prolapse, and 14 patients (28%) had urinary symptoms postoperatively.
Our treatment showed good anatomical corrections based on chain cystourethrography, and there were no prognostic differences among the surgical procedures. However, anatomical correction does not always mean improvement of urinary symptoms. Further studies are needed to clarify what factors contribute to the prognosis in such cases.
评估链式膀胱尿道造影与生殖器脱垂手术及泌尿系统症状之间的关系。
对1991年1月至1997年12月期间患有生殖器脱垂的女性进行回顾性研究。为客观评估术前和术后的解剖情况，进行了链式膀胱尿道造影。
57例患者接受了生殖器脱垂的手术修复。术后所有患者在主观和客观上的生殖器脱垂均得到恢复。链式膀胱尿道造影有助于评估术后的解剖矫正情况。然而，6例患者（12%）仍有生殖器脱垂复发的感觉，14例患者（28%）术后出现泌尿系统症状。
我们的治疗基于链式膀胱尿道造影显示出良好的解剖矫正效果，且手术方法之间无预后差异。然而，解剖矫正并不总是意味着泌尿系统症状的改善。需要进一步研究以阐明在此类病例中哪些因素对预后有影响。
